Excess mortality among Indiana firefighters, 1985-2013

Carolyn M. Muegge, Terrell Zollinger, Yiqing Song, Jennifer Wessel, Patrick O. Monahan, Steven M. Moffatt

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Background: Firefighters are exposed to toxic agents increasing their risk for cancer and cardiovascular disease. We examined the odds of cancer and cardiovascular mortality of firefighters relative to a matched group of non-firefighters from the general population. Methods: Firefighter death records were matched to four non-firefighter death records on age at time of death, sex, race, ethnicity, and year of death. Exact odds ratios, 95% confidence intervals, and P-values were calculated using conditional logistic regression to compare groups. Results: The odds of death due to malignant cancers was significantly higher for firefighters than non-firefighters (OR: 1.19; 95%CI 1.08, 1.30). There was no difference in the odds of death for cardiovascular diseases, including ischemic heart disease, between the two groups. Conclusions: The study suggests the importance of early and effective cancer prevention strategies among firefighters including worksite health promotion programs and incumbent physical activity evaluation.

Original languageEnglish (US)
Pages (from-to)961-967
Number of pages7
JournalAmerican Journal of Industrial Medicine
Issue number12
StatePublished - Dec 1 2018


  • cancer
  • cardiovascular disease
  • case-reference
  • firefighters
  • mortality

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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